Basic Information
Provider Information
NPI: 1851839070
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AMINI
FirstName: ABDUL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 421 COOLIDGE AVE
Address2:  
City: KALAMAZOO
State: MI
PostalCode: 490062931
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 117 W PATERSON ST
Address2:  
City: KALAMAZOO
State: MI
PostalCode: 490072557
CountryCode: US
TelephoneNumber: 2693492641
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/08/2017
LastUpdateDate: 02/08/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
124Q00000X2902017906MIY Dental ProvidersDental Hygienist 

No ID Information.


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